Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Cody Robert Corntassel, ATC, LAT

Individual provider Athletic Trainer · NPI 1972992295

Mr. Cody Robert Corntassel, ATC, LAT is an Athletic Trainer in Waco, Texas. Licensed in Texas. Registered with an NPI since 2015.

Licensed in
TX
In the registry since
2015
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

415 Owen Ln Apt 713
Waco, TX 76710-8910
Phone: (918) 961-1527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT5653 (TX)

Record details

NPI number1972992295
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT
Sole proprietorNo
NPI enumeratedJanuary 12, 2015
Last updated in NPPESJanuary 12, 2015

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